Southwest Virginia Region Six VOAD Member Application

Southwest Virginia Region Six VOAD Membership Application

Please provide the organization's mission statement. Include information on disaster program if applicable.

Resources*

2-1-1 Information Services

Animal Care

Canteen/Food Services

Case Management

CERT Teams

Chaplaincy

Child Care

Critical Incident Stress Management

Cleanup

Clothing/Household Goods

Communications

Counseling

Damage Assessment

Disaster Mental Health

Disaster Welfare Inquiry

Donation Management

Elder Care

Financial Assistance

Fiscal Agent

Ham Radio Communications

Hardware Materials

Information Management

Laundry Facilities (mobile)

Logistical Assistance

Mass Care

Nursing and Health

Overnight Shelter

Power Supply

Rebuild and Repair

Recovery - Long Term

Recovery - Short Term

Search and Rescue

Shower Unit(s) (mobile)

Special Needs

Training/Outreach/Preparedness Planning

Transportation - Materials/Freight

Transportation - Medical

Transportation - Personal

Volunteer Management (Spontaneous, Unaffiliated)

Warehousing/Storage/Bulk Distribution

Other

Please check any services your organization provides and/or any equipment available during times of disaster

Does your organization have a written:

Continuity of Operations Plan (internal)

Disaster Response Plan (external)

Section Break

State the name and contact information of the primary and secondary contacts for Southwest Virginia Region Six VOAD. These persons must provide complete information for each category and be willing to be reached at any time in the case of emergency.